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Prior authorization

6,799 Medicare Part D prior-authorization rules indexed from CMS SPUF (Standard Public Use File). Step therapy, quantity limits, tier assignments — authoritative, updated quarterly.

Why only Medicare Part D?

Medicare Part D formularies are published by CMS and we can cite them. Commercial plan rules vary by plan + year + region and aren't reliably published in a machine-readable form — so we don't surface them here. For your commercial plan, check your insurer's formulary PDF directly (“drug list” on the member site) or ask your pharmacist to run a test claim.

DrugPayerPAStep therapyTier
Gazyva

obinutuzumab

Medicare Part D

ENSACOVE

ensartinib

Medicare Part D

IBANDRONATE SODIUM

Ibandronate sodium

Medicare Part D

Amlodipine besylate and Olmesartran medoxomil

Amlodipine besylate and Olmesartran medoxomil

Medicare Part D

Sodium Citrate and Citric Acid

Sodium Citrate and Citric Acid

Medicare Part D

Bupropion Hydrochloride XL

Bupropion Hydrochloride

Medicare Part D

UREA

Urea

Medicare Part D

NOXAFIL

posaconazole

Medicare Part D

TIZANIDINE HYDROCHLORIDE

tizanidine hydrochloride

Medicare Part D

Donepezil

memantine hydrochloride and donepezil hydrochloride

Medicare Part D

MARGENZA

margetuximab-cmkb

Medicare Part D

NP Thyroid 15, NP Thyroid 120, NP Thyroid 30, NP Thyroid 60, NP Thyroid 90

Medicare Part D

PRED FORTE

prednisolone acetate

Medicare Part D

Saxagliptin and Metformin

saxagliptin and metformin

Medicare Part D

Nexavar

sorafenib

Medicare Part D

TYKERB

lapatinib

Medicare Part D

VARENICLINE TARTRATE, VARENICLINE

Medicare Part D

COPPER

COPPER

Medicare Part D

LOJAIMIESS

levonorgestrel/ethinyl estradiol and ethinyl estradiol

Medicare Part D

Octreotide Acetate

Octreotide Acetate

Medicare Part D

Ciprofloxacin and Dexamethasone

Ciprofloxacin and Dexamethasone

Medicare Part D

Dialyvite Supreme D

Ascorbic Acid, Cholecalciferol, Alpha-Tocopherol, Thiamine, Riboflavin, Niacinamide, Pyridoxine, Folic Acid, Cobalamin, Biotin, Pantothenic Acid, Zinc, Selenium

Medicare Part D

Mylotarg

gemtuzumab ozogamicin

Medicare Part D

Cyclophosphamide

Cyclophosphamide

Medicare Part D

SODIUM PHENYLACETATE AND SODIUM BENZOATE

sodium phenylacetate and sodium benzoate

Medicare Part D

LEVETIRACETAM solution

Levetiracetam

Medicare Part D

IMDELLTRA (AMG757)

Tarlatamab-dlle

Medicare Part D

PREVDUO

neostigmine methylsulfate and glycopyrrolate

Medicare Part D

Effexor XR

VENLAFAXINE HYDROCHLORIDE

Medicare Part D

Desmopressin Acetate

Desmopressin Acetate

Medicare Part D

Thiotepa

Thiotepa

Medicare Part D

GLYRX-PF

glycopyrrolate

Medicare Part D

Psorinum

Psorinum

Medicare Part D

Nortriptyline HCL

Nortriptyline HCL

Medicare Part D

Prenate Chewable

calcium carbonate, cholecalciferol, magnesium oxide, boron, folic acid, pyridoxine hydrochloride, cyanocobalamin, biotin and bilberry

Medicare Part D

Hydrocortisone

Hydrocortisone

Medicare Part D

Depo-Provera

medroxyprogesterone acetate

Medicare Part D

Sucralfate

Sucralfate

Medicare Part D

KOLORZ SIXTY SECOND FLUORIDE FOAM TRIPLE MINT, KOLORZ SIXTY SECOND FLUORIDE FOAM CHERRY CHEESECAKE, KOLORZ SIXTY SECOND FLUORIDE FOAM COTTON CANDY, KOLORZ SIXTY SECOND FLUORIDE FOAM BLUE RASPBERRY

Medicare Part D

Amphetamine Sulfate

DEXTROAMPHETAMINE SACCHARATE, AMPHETAMINE ASPARTATE MONOHYDRATE, DEXTROAMPHETAMINE SULFATE, AMPHETAMINE SULFATE

Medicare Part D

Omega-3-Acid Ethyl Esters

OMEGA-3-ACID ETHYL ESTERS

Medicare Part D

THIAMINE HYDROCHLORIDE injection, solution

Thiamine Hydrochloride

Medicare Part D

Trospium Chloride

Trospium Chloride

Medicare Part D

PaxLyte

leucovorin, folic acid, levomefolate magnesium, ferrous cysteine glycinate, 1,2-docosahexanoyl-sn-glycero-3-phosphoserine calcium, 1,2-icosapentoyl-sn-glycero-3-phosphoserine calcium, phosphatidyl serine, pyridoxal 5-phosphate, flavin adenine dinucleotide, nadh, cobamamide, cocarboxylase (thiamine pyrophosphate), magnesium ascorbate, zinc ascorbate, magnesium l-threonate and betaine capsule

Medicare Part D

Adderall XR

Dextroamphetamine Sulfate, Dextroamphetamine Saccharate, Amphetamine Sulfate and Amphetamine Aspartate

Medicare Part D

Austedo, AUSTEDO, AUSTEDO XR

Medicare Part D

Yes
Paroxetine

Paroxetine

Medicare Part D

Glycopyrrolate

Glycopyrrolate

Medicare Part D

CIDOFOVIR DIHYDRATE

Cidofovir Dihydrate

Medicare Part D

SUBLOCADE

buprenorphine

Medicare Part D